Archived: Care Management Group - 59 Bury Road

Updated 14 November 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector

Service and service type

Care Management Group – 59 Bury Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and we observed the care of others in communal areas who could not talk with us. We spoke with seven members of staff including the regional manager, registered manager, deputy manager, lead support worker and care workers.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with the relatives of two people to ask their views on the service.

Updated 14 November 2019

About the service

Care Management Group – 59 Bury Road is a residential care home providing accommodation and personal care to six people living with a learning disability or autistic spectrum disorder at the time of the inspection. The service can support up to six people in a large residential property.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

People continued to receive safe care at 59 Bury Road. Staff understood how to provide safe care and guidance was in place for staff to follow to reduce risks to people. The service acted to safeguard people from abuse and people, staff and families were made aware of how to report any concerns. Staff were safely recruited and there were enough staff to meet people’s needs. Medication management was safe, and staff used protective equipment to protect people from the spread of infections. Incidents were used to improve care.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The registered manager acted to address the assessment and review of people’s mental capacity where required during the inspection.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People’s needs were assessed, and these were met by staff who completed the appropriate training and received support to provide effective care. Staff used a positive behavioural approach to support people to manage behaviours that may challenge others or cause them harm. People’s healthcare and dietary needs were assessed and met. The service offered a homely environment and people’s rooms were personalised.

People were supported by kind, caring and compassionate staff. Staff understood how to support people when they were distressed or anxious and provided a thoughtful and consistent approach to supporting people at these times.

People’s communication needs were known, recorded and met. Care plans were clearly laid out and described how people preferred to receive care and this was followed in practice. People were supported to participate in activities that met their interests. A complaints procedure was in place and available to people in an accessible format. People had been supported to consider their end of life needs.

The service had experienced several staff and leadership changes over recent months. Staff told us the new registered manager had improved the culture of the service and people benefited from a more inclusive and person-centred approach. There was a system in place to monitor and improve the quality and safety of the service. We have made a recommendation for the provider to improve the implementation of the Mental Capacity Act (2005) which provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 21 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Care Management Group – 59 Bury Road on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.